Individual provider Active NPI

Nicole Lewis, N.D.

  • Naturopath
  • Portland, OR
National Provider Identifier
1477910024
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4440 Issued in OR
Practice address
819 SE Morrison St Ste 115
Portland, OR 97214-6308
Phone
(503) 956-9396
Fax
(503) 206-4791
NPI assigned
Jan 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 4440 OR Primary
Naturopath 175F00000X 000017 CO

Addresses

Primary practice location

819 SE Morrison St Ste 115
Portland, OR 97214-6308

Mailing address

819 SE Morrison St Ste 115
Portland, OR 97214-6308
Phone (503) 956-9396

Other practice location 1

2620 E Prospect Rd Ste 190
Fort Collins, CO 80525-9098
Phone (970) 221-1106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000017COMDNaturopath
4440ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Mental Health PNW Naturopath Current Accepting new patients
Heart Spring Health LLC Naturopath PastSince Feb 9, 2025 Accepting new patients
The Rewilding Practice LLC PastSince Aug 25, 2025 Accepting new patients

Locations

408 E Main St
Ste 101
Battle Ground, WA 98604
Phone (360) 687-4492

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1477910024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST STE 115",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146308",
            "telephone_number": "503-956-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST STE 115",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146308",
            "telephone_number": "503-956-9396",
            "fax_number": "503-206-4791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 E Prospect Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805259098",
            "country_code": "US",
            "telephone_number": "970-221-1106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NICOLE",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4440",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CO",
            "license": "000017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.